Medical Negligence: “My brother bloated to death” – Man sues 37 Military Hospital

Forty-eight-year-old Solomon Asare-Kumah’s oxygen tube was inserted wrongly at the 37 Military Hospital in Accra. It went under his skin so that the oxygen gas went through his body tissues, instead of the respiratory system.

The air was flowing into his body alright. But where it was going was all wrong. No air for lungs, his body bloated. No air for his heart, he bloated. And with no one at the ICU to attend to him, he “extremely bloated”. Air-starved, his heart gave up. Cardiac arrest.

Solomon was gone after midnight on October 21, 2019. A father was gone.

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On June 28, 2021, some 21 months after the tragedy, Solomon Asare-Kumah’s brother, Emmanuel Asare-Kumah, has sued the consultant surgeon who was responsible for his brother’s healthcare, Col/Dr. Gordon. A.O Appiah.

He has joined the 37 Military Hospital, which employs the consultant, the Chief of Defence Staff of the Ghana Armed Forces to the suit, as well as the Attorney-General, which defends state institutions in court.

Represented by lawyer Martin Kpebu, he has sued for negligently causing his brother’s death, for breach of contract, and alleged deceitful tactic employed by the surgeon to collect more than GH¢40,000 from the desperate family.

All of these parties, he says, must answer questions as to why and how personal and systematic failures led to his brother’s death. And for the wrong answers, he wants a punitive compensation of two million cedis.

The Fourth Estate has obtained a copy of the writ filed at an Accra High Court. And it chronicles the trauma and the tears of a family whose breadwinner was first admitted at the 37 Military Hospital on Thursday, August 22, 2019.

He had been referred there from C&J Hospital in Sakumono Estates, Accra. And he came in sub-conscious. He had a mass on his brain, which required surgery. He could not speak or open his eyes and his upper limb was immobile.

Inside the Emergency and Trauma Unit of the hospital, Solomon Asare-Kumah needed surgery urgently and the consultant surgeon assigned to the case asked for GH¢40,000 to take care of the surgery, medications, keeping a nurse at the ward, and ward charges, according to the suit.

The doctor explained to Dorothy Asare-Kumah Adolf, a desperate sister of the patient, that a deposit of at least GH¢25,000 was required to start.

Within three days, the part payment was ready and the family on Sunday, June 25, 2019, went to the hospital to “seek direction on how to effect payment.”

“But none of the nurses was willing to provide information and only asked them to speak to the 4th defendant personally [Col./Dr. G.O Appiah],” the writ said. They were eventually directed to wait at the surgeon’s office.

When the consultant surgeon emerged, he asked that the monies be paid personally to him, a demand which sidestepped hospital rules completely as monies for medical services are not paid directly to caregivers. But the plaintiff says they “trusted the 4th defendant [Dr. Gordon Appiah] absolutely” explaining they had no cause to doubt a senior military officer and a medical doctor of the rank of a consultant surgeon.

According to the court documents, four dates of the surgery set by the doctor were postponed with various explanations from Monday 2, to September 16, 2019.

September 2, 2019: The doctor explained that some tools and items needed for the surgery were yet to arrive in the country and showed Dorothy a text message to confirm the delay in procuring the materials. One of these items was surgical glue. But the family, too desperate to entertain delays, ordered the surgical glue from the US. Through a catholic priest, who is a friend to the family, the surgical glue arrived on Saturday, September 7, 2019. They sent the glue to the hospital the same day. The rescheduled date for the surgery was some two days away, September 9, 2019.

September 9, 2019: Inside the theatre, Solomon had been given anesthesia to numb the pain associated with the surgery. The family was hopeful that, finally, the surgery was to proceed. But moments later, the medical team emerged to explain that a drill to be used for the operation had malfunctioned.  The consultant surgeon said a new drill was to come from South Africa. The surgery was abruptly postponed again to September 13, 2019.

September 13, 2019: The consultant surgeon reported that “he had a flu.” The drill from South Africa was even yet to arrive, he explained to the family and so the surgery was once again postponed.

September 16, 2019: A family member paced anxiously in front of the theatre as Solomon was wheeled in. But at about 3pm, a doctor would come out of the operating room and explain that, while in the middle of the surgery, the drill malfunctioned again. By this time Solomon Asare-Kumah’s skull had been split open. The doctors said they had to perform an “open and close” procedure. The surgery was postponed much to the family’s disappointment.

According to the plaintiff, a source at the hospital later revealed that the drill was not from South Africa. It was from Korle-Bu Teaching hospital, an hour’s drive away on a hot afternoon.

A day after the last postponement, there was some disconcerting news.  Dorothy had detected that his brother, “Solomon’s left leg was swollen and drew the attention of the nurse.” In September 2019, Col/Dr. Gordon Appiah ordered a Doppler test, which is used to diagnose conditions that affect blood flow.

The diagnosis disturbingly showed “blood clots in both legs with the left one in the deep vein.” The family noted that their relative did not have this condition before he was admitted. There was a doppler test to prove this. And so, the fresh alarm described by the specialist at the diagnostic center as “dangerous” as a result of the lack of proper medical care for Solomon Asare-Kumah.

The family was advised to “act very fast” and the very next day after the doppler test results, Thursday, September, 19, Solomon was rushed to National Cardio Centre at the Korle-Bu Teaching Hospital, for an “IVC filter procedure.” It was to cost $5,500. The consultant surgeon under whose care Solomon had developed blood clots also charged $10,000, explaining his services were of an “Indian standard.”

Col/Dr. Gordon Appiah deducted the cost of the ward fees, tissue glue, and other expenses from the GH¢25,000 initial deposit the family had made. The outstanding bill was now $4,000 and at the prevailing exchange rate of 5.61 to a dollar, the family now owed the doctor GH¢22,400.

At this point, Dorothy, sister of the patient, fell on her knees, begged, cried and wept, asking the doctor to reduce the outstanding bill. It was halved from $4,000 to $2,000.

With that agreement, the bedridden, sub-conscious Solomon Asare-Kumah was sent to Korle-Bu Cardio Center for the IVC filter procedure on 25th September 2019.

Once the procedure was completed, the patient was sent back to 37 Military Hospital for the main surgery on his brain, which was three days away, September 30, 2019.

D-day surgery

Three days before the surgery, the consultant surgeon asked for his $2,000 from Dorothy. But the sister of the patient pleaded that he should go ahead with the surgery.

The operation lasted 12 hours. It was successful, the family was told. And Solomon was sent to the ICU to recover and the family, as promised, paid GH¢11,200 ($2,000) to Col/Dr. Gordon Appiah for his services.

Twice during recovery, Solomon, on life support equipment, was sent for CT scans at Sunshine Laboratory. For a period of 11 days after the surgery, the hospital’s pharmacy expressed concern about the volumes of medicine and drugs administered to Solomon.

For example, four bottles of cough medicine were administered to Solomon in a week. The pharmacy on October 14, 2019, refused to dispense any more cough medicine, rejecting the doctor’s explanation that the “mixture was administered through a feeding tube and which, sometimes, spilled for which reason the medications ran out quickly.”

Eventually, on October 14, 2019, a number of tests to ascertain the blood clot profile showed a possible overdose “because of the high levels of Protamine in Solomon’s system.”

The hospital at the instructions of the consultant surgeon administered a prescription of IV Protamine Sulphate 50mg to reverse the overdose.

Emmanuel Asare-Kumah said he visited the ICU on October 20, 2019. But he noticed a lot of shuffling and movement among the medical team. He grew anxious and feared a fresh misfortune. But an ENT surgeon assured him his brother was fine, only that he “required an x-ray to check if his chest region was clear.”

Two doctors identified as Kutin and Mariama Iddrisu would later usher him into a meeting to explain the state of his brother’s health.

They said they had performed a tracheostomy, a medical procedure that involves creating an opening in the neck in order to place a tube into a person’s windpipe. The tube is inserted through a cut in the neck below the vocal cords. This allows air to enter the lungs.

They said later the trachea tube was removed to clear some blockage. But while reinserting the tube, it went under his skin instead of his throat.

The two doctors said he should prepare for what he was about to see because “the sight of Solomon was likely to scare him.”

It did. And Emmanuel says he was “devastated”.

May be an image of 1 personFile photo: Emmanuel Asare-Kumah, brother of the deceased

“It was obvious that the level of bloating that occurred was purely attributable to the lack of due care both in the process of reinserting the tube or the neglect of Solomon for an unreasonably long time without any monitoring or whatsoever.”

The plaintiff, Emmanuel Asare-Kumah, said the doctors assured him that his brother would be fine by morning. He was not. He died after midnight, the hospital says.

May be an image of 1 person and smilingFile photo: Solomon was described by family as an affable, humourous person who often wore a smile. Photo credit: Facebook.

37 Military Hospital frustrates family

Emmanuel Asare-Kumah said he was prevented from entering the ICU that morning and despite the company of the hospital chaplain, Rev. Fr. Lt. Col Anthony Kemetse,  a psychologist Major Tentteh, and two family friends, Lawrence Ayagiba and Eric Nyamordey, he was not allowed to enter the mortuary.

The hospital said the person to authorise their entry was in a meeting. The distraught family went home expecting a call from the consultant surgeon. It never came.

On October 23, 2019, two days after the death, the family went back to the hospital to demand answers. Col/Dr. Gordon O. Appiah confirmed the death for the first time and proceeded to complete the paperwork for an autopsy.

On that same day, the hospital also gave the family a bill covering the three attempted surgeries. The family was shocked to learn they had to pay for failed surgeries when it was the fault of the doctor that resulted in the postponements.

The consultant surgeon could only produce one receipt of GH¢25,000 which showed that the money was used to buy surgical tools from Victoria Surgical Company. There was no receipt for the GH¢11,200.

Ghana Army frustrates family

The family escalated the matter to the doctor’s Commanding Officer, Brigadier General Nii Adjah Obodai, who directed the family to file an official complainant relating to the unsatisfactory explanation about the cause of Solomon’s death and extortion by the doctor.

The family in their letter accused the doctor of breach of contract, negligence, extortion by deceit and misrepresentation and demanded investigations into these claims.

The Commanding Officer refused their request. It was only after the family petitioned the Medical and Dental Council that the Military Command commissioned a Board of Inquiry into the petition.

The family appeared and gave their testimony in March 2020. But since the inquiry, the Military Command has refused to communicate its findings or make the report available to the family.

“The office simply ignored the letter,” the statement of claims said.

Impact of Solomon’s death on the family

There has been no report released to the family to date as the family struggles to come to terms with their relative’s death.  Solomon Asare-Kumah, who was based in the UK, was a breadwinner who supported at least four family members with £800 per month.

He had come to Ghana to visit his sick father, Bartholomew Asare-Kumah. After Solomon died, his sick father also died shortly afterward, as he was unable to come to terms with his son’s death.

Solomon’s mother, Magdalene Asare-Kumah, also recently passed. Solomon’s siblings are having to deal with “immense mental distress and trauma”, the suit said.

May be an image of 5 people

Photo: Magdalene Asare-Kumah | Photo Credit: Facebook|Emmanuel Asare-Kumah

The plaintiff has asked the court to award GH¢2,008,259 in damages. He has also asked for compensation for the widow for the mental distress (xanax) which “eventually led to the death of Solomon’s father”.

The plaintiff also wants an order for the recovery of special damages for breach of contract and for negligence resulting in the losses of GH¢20,000, the cost for the funeral; GH¢36,200, being monies the doctor collected through “deceit and unconscionable contract”; 10,000 cedis incurred during the 60 days that Solomon remained bed-ridden at the hospital.

The plaintiff also wants to recover $5,500 for the IVC filter procedure at Korle-Bu and GH¢40,000 as solicitor fees.

Our initial report wrongly described Emmanuel Asare-Kumah as the son of the deceased. He is actually a brother. The error has since been corrected.

You can contact the writer via email, [email protected] or follow him on twitter @edwinolgylab

56 COMMENTS

  1. Such a cruel society, how and how we end up so cruel as a people baffles me. Bunch of wicked unprofessional sound. May the souls of the departed be consoled in eternity.

  2. God strength and peace for the family in this sad times. May heaven help all those in the hospital to do the right and correct things to save lives. AMEN

  3. Our health care system and the rots we encounter daily leaves us with little hope.
    Just pray you don’t fall sick or need serious care…..hmm

  4. Such mishap and extortion at 37 hospital is so pervasive.
    Surgeries are scheduled for sundays and said they are emergencies and said doctors take cash directly rather than through the normal process.
    A rest for all departed souls in this rude manner.
    God be our judge.

  5. Beyond the monies the family is seeking, theses bunch of criminals should have their licenses withdrawn.

  6. This is sad and heartbreaking. I hope they have all the needed documents to support their claims in court. The surgeon and everyone involved must pay.

  7. Until medical practitioners/Doctors are personally held liable for some of these things, the carelessness and negligence would continue. Severe sanctions such as suspension or withdrawal of license should also be meted out when the practitioner is found guilty. Thus is the only way serious care would be given to patients

  8. Sad. Brings to mind a bad unsuccessful orthopaedic surgery done for a friend daughter somewhere last year at same 37 military hospital and the momo extortions. Very unconscionable! Almost all staff are doing same. If colonel can do that, what about the nurse and orderly. Systemic breakdown of healthcare delivery service.

  9. This is not the first and wouldn’t be the last
    Intentionally neglecting peoples petitions and concerns
    See how long it took for this case to resurface
    Ask the family miscellaneous amount of money they haven’t accounted for in the process to get their matter up to some listening ears……. We are the eaters of our own future
    Blacks doing this to blacks but he would have been better in a white mans land

    After all this settlements,the doctors and nurses will go free and cause more harm since they personally didn’t feel the impact of their mistakes enough
    Since then(2019) till now go and check death cases linked to their names
    And no justification or enquiry has ensued
    We are living dead cos no-one cares about no-one except the interest in ur money
    U get milked till u become lean then u get killed and the proceed unto the next one

  10. Am still baffled after reading this…..I mean how do you prioritize money over the life of your fellow human being ….I mean how! Hmmmmmm

  11. Ghanaian should take note and begin to take keen interest in ensuring that medical staff serve diligently and with integrity. We need to hear more people suing for medical negligence so that hospital staff will be on their toes

    • Unfortunately, with the kind of judicial system we have, nothing positive might come out of this case. God will judge us all basabasa

  12. Can’t come to terms with this sad revelation. This is a case of clear medical negligence and extortion. It is good this case is in court.

  13. He had a brain tumor with mass effect and was going to die regardless. The testing and dvt and ivc filter and treacheostomy etc were just antics to extract money from the family.

  14. Talk of a tragic end!!! Very horrific and unfortunate. No, this country is cursed! Why are we doing this to ourselves? The greed is just too much

    • It’s not cursed. It been cursed will mean that we are under a spell. We are not under any spell. We are fully aware of our actions and inactions. This is who we are…evil, wicked, dishonest, liars and hypocrites

  15. Hmmmm, how did we arrive here, Ghana Police takes advantage of drivers and riders, doctors take advantage of patients to make money, the politician who should regulate all these, take advantage of the system!
    You see why people seek spiritual help, the state is a failed state.
    May God help us

  16. Medical malpractice should be taken seriously in Ghana to enable healthcare professionals hold responsible for their own actions. It’s about time doctors and nurses attitudes towards patients are taken seriously.

    • I seriously agree with that.I had my medication stolen and I needed to have this injected after my surgery. A report to the matron could still not help locate the medication. I had to be billed for another as I needed it to prevent blood clotting after my surgery.It’s about time lincense are revoked to deter other .

  17. I hope whosoever the judge is will walk in the boots of the family and let the law work firmly. I wish the family well.

  18. We are stewards of the earth and it’s inhabitants. It’s amazing how some of these same people call themselves christians. See, Ghanaians are some of the most wicked people I’ve ever met. The hypocrisy, dishonesty, cruelty, deceit, the lies and inability to have the confidence to be straightforward is our trademark. We have no conscience. Some people will come all out to defend the wrong rather than righting the wrong. So inhuman and senseless. Akwasi broni will never do this to even a stray pet. Bow your heads in shame. We’ll be one of the very 1st people to be judged.

  19. Mercy God, This is indeed a very bad and sad experience not even your worst enemy must go through this. God have mercy!!!!

  20. It’s about time Ghanaian healthcare professionals were held accountable for their actions. My Grandfather a retired colonel passed at 37 military hospital due to negligence. My uncle also died there due to lack of proper medical care.

  21. The medical doctor is crafty; very Machiavellian in duping the family members. He knew all along that they have money and that the paralysed man was close to fatality. That is why he was delaying the surgeries. He played with them when the family members had to purchase the glue from US themselves and his intention to buy another drill from South Africa, when the one they original used malfunctioned. For most part, the Colonel communicated or foreshadowed that the man would pass on excerpt that he wanted their money, he would not tell them directly that Solomon would die. Do you remember that the Colonel said he had a flu; meaning that he would live long or they should fly him abroad. Whatever the case now, we welcome the legal tussle. We are interested in the judgement of the court.

  22. Ghanaian Doctors are all about money. They are the highest paid professionals in the hospital settings yet they are never content with what they get. Imagine a nurse works for over 30years and her take home is not up to ghc 5000 but a fresh doctor straight from school takes not less than ghc 7000. With all these monies they receive extortion is the hallmark of some doctors. All they think about is colonising and micro managing the health system. Amassing every positions in the hospital and living their core mandate aside.
    God be the helper of this family and may the truth pravail

  23. mr Solomon was a british citizen’s why did Emmanuel him to come to Ghana for treatment, He arrived with his wife and you asked the wife to leave him behind,
    so who caused his death. He had free medical care in United kingdom. why didn’t you bring him back. even people living in ghana fly to UK for treatment.

    • He got the attack on a visit to Ghana, and was immobile, flying him on a medical plane would have been very expensive and they would have to pay for the transportation in advance not that easy if you arent super rich

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